WorksheetsOB Review
Total questions: 25
Worksheet time: 13mins
A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa. Which of the following findings support this diagnosis?
Painless red vaginal bleeding
Increasing abdominal pain and a nonrelaxed uterus
Abdominal pain with scant red vaginal bleeding
Intermittent abdominal pain following the passage of bloody mucus
A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?
Document the findings and continue to monitor the client
Notify the provider
Increase the frequency of fundal massage
Encourage the client to empty her bladder
A nurse is caring for a newborn immediately following birth. After assuring a patent airway, what is the priority nursing action?
Administer phytonadione
Dry the skin
Administer eye prophylaxis
Place an identification bracelet
A nurse is caring for a client during the first trimester of pregnancy. After reviewing the client's blood work, the nurse notices she does not have immunity to rubella. Which of the following times should the nurse understand is recommended for rubella immunization?
Shortly after giving birth
in the third trimester
Immediately
During her next attempt to get pregnant
A nurse is caring for a client who just delivered a newborn. Following the delivery, which nursing action should be done first to care for the newborn?
Clear the respiratory tract.
Dry the infant off and cover the head
Stimulate the infant to cry
Cut the umbilical cord
A nurse in labor and delivery is caring for a client. Following delivery of the placenta, the nurse examines the umbilical cord. Which of the following vessels should the nurse expect to observe in the umbilical cord?
2 veins and 1 artery
1 artery and 1 vein
2 arteries and 1 vein
2 arteries and 2 veins
A nurse is caring for a client who is considering several methods of contraception. Which of the following methods of contraception should the nurse identify as being most reliable?
A male condom
An intrauterine device
An oral contraceptive
A diaphragm with spermicide
A nurse is caring for an antepartum client whose laboratory findings indicate a negative rubella titer. Which of the following is the correct interpretation of this data?
The client is not experiencing a rubella infection at this time
The client is immune to the rubella virus.
The client requires a rubella vaccination at this time.
The client requires a rubella immunization following delivery.
A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large amount of painless, bright red vaginal bleeding. The client is placed on a fetal monitor indicating a regular fetal heart rate of 138/min and no uterine contractions. The client's vital signs are: blood pressure 98/52 mm Hg, heart rate 118/min, respiratory rate 24/min, and temperature 36.4° C (97.6° F). Which of the following is the priority nursing action?
Insert an indwelling urinary catheter
Initiate IV access
Witness the signature for informed consent for surgery
Prepare the abdominal and perineal areas
A nurse in a prenatal clinic is caring for a client who is suspected of having a hydatidiform mole. Which of the following findings should the nurse expect to observe in this client?
Rapid decline in human chorionic gonadotropin (hCG) levels
Profuse, clear vaginal discharge
Irregular fetal heart rate
Excessive uterine enlargement
A nurse is caring for a client who is having a nonstress test performed. The fetal heart rate (FHR) is 130 to 150/min, but there has been no fetal movement for 15 min. Which of the following actions should the nurse perform?
Immediately report the situation to the client's provider and prepare the client for induction of labor
Encourage the client to walk around without the monitoring unit for 10 min, then resume monitoring
Offer the client a snack of orange juice and crackers.
Turn the client onto her left side
A nurse on a labor unit is admitting a client who reports painful contractions. The nurse determines that the contractions have a duration of 1 min and a frequency of 3 min. The nurse obtains the following vital signs: fetal heart rate 130/min, maternal heart rate 128/min and maternal blood pressure 92/54 mm Hg. Which of the following is the priority action for the nurse to take?
Notify the provider of the findings.
Position the client with one hip elevated
Ask the client if she needs pain medication
Have the client void
A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is "not
really sure if she is in labor or not." Which of the following should the nurse recognize as a sign of true labor?
Rupture of the membranes
Changes in the cervix
Station of the presenting part
Pattern of contractions
A nurse is preparing to administer magnesium sulfate IV to a client who is experiencing preterm labor. Which of
the following is the priority nursing assessment for this client?
Temperature
Fetal Heart rate
Bowel sounds
Respiratory rate
A nurse is caring for a client who is at 40 weeks of gestation and is in labor. The client's ultrasound examination
indicates that the fetus is small for gestational age (SGA). Which of the following interventions should be included
in the newborn’s plan of care?
Observe for meconium in respiratory secretions.
Monitor for hyperglycemia.
Identify manifestations of anemia.
Monitor for hyperthermia.
A nurse is instructing a woman who is contemplating pregnancy about nutritional needs. To reduce the risk of
giving birth to a newborn who has a neural tube defect, which of the following information should the nurse include
in the teaching?
Limit alcohol consumption.
Increase intake of iron-rich foods.
Consume foods fortified with folic acid.
Avoid foods containing aspartame.
A nurse in the ambulatory surgery center is providing discharge teaching to a client who had a dilation and
curettage (D&C) following a spontaneous miscarriage. Which of the following should be included in the teaching?
Vaginal intercourse can be resumed after 2 weeks.
Products of conception will be present in vaginal bleeding.
Increased intake of zinc-rich foods is recommended.
Aspirin may be taken for cramps.
A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38
weeks of gestation with a diagnosis of preeclampsia. Which of the following findings should the nurse identify as
inconsistent with preeclampsia?
1+ pitting sacral edema
3+ protein in the urine
Blood pressure 148/98 mm Hg
Deep tendon reflexes of +1
A nurse is preparing to assess a newborn who is postmature. Which of the following findings should the nurse
expect? (Select all that apply.)
Cracked, peeling skin
Positive Moro reflex
Short, soft fingernails
Abundant lanugo
Vernix in the folds and creases
A nurse is caring for a client who is in the first stage of labor. The nurse observes the umbilical cord protruding
from the vagina. Which of the following actions should the nurse perform first?
Cover the cord with a sterile, moist saline dressing.
Prepare the client for an immediate birth.
Place the client in knee-chest position.
Insert a gloved hand into the vagina to relieve pressure on the cord.
A nurse is caring for a client who is in premature labor and is receiving terbutaline. The nurse should monitor the
client for which of the following adverse effects that should be reported to the provider?
Headaches
Nervousness
Tremors
Dyspnea
A nurse is caring for several clients. The nurse should recognize that it is safe to administer tocolytic therapy to
which of the following clients?
A client who is experiencing fetal death at 32 weeks of gestation
A client who is experiencing preterm labor at 26 weeks of gestation
A client who is experiencing Braxton-Hicks contractions at 36 weeks of gestation
A client who has a post-term pregnancy at 42 weeks of gestation
A nurse is teaching a client who is postpartum and has a new prescription for an injection of Rho (D)
immunoglobulin. Which of the following should be included in the teaching?
It prevents the formation of Rh antibodies in mothers who are Rh negative.
It destroys Rh antibodies in mothers who are Rh negative.
It destroys Rh antibodies in newborns who are Rh positive.
It prevents the formation of Rh antibodies in newborns who are Rh positive.
A nurse in a prenatal clinic is caring for a client who is at 38 weeks of gestation and reports heavy, red vaginal bleeding. The bleeding started spontaneously in the morning and is not accompanied by contractions. The client is not in distress and she states that she can "feel the baby moving." An ultrasound is scheduled stat. The nurse should explain to the client that the purpose of the ultrasound is to determine which of the following?
Fetal lung maturity
Location of the placenta
Viability of the fetus
The biparietal diameter
A nurse is completing a home visit to a mother who is 3 days postpartum and breastfeeding her newborn. The mother expresses concern about the amount of weight the newborn has lost since birth. Which of the following is a
response the nurse should make?
"You might want to offer water supplements between feedings."
"It is due to the newborn’s loss of the influence of the maternal hormones."
"This might be related to your baby having 3 stools a day."
"The cause might be too short or infrequent feedings."
